Individual
JULIA LAVETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BS BSN CHPN
Contact information
Practice address
1121 ATKINSON ST, DETROIT, MI 48202-1521
(248) 804-2457
Mailing address
4406 3RD ST, DETROIT, MI 48201-1134
(248) 804-2457
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
4704249595
MI
163WH1000X
Hospice Registered Nurse
Primary
4704249595
MI
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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